Preparation of site:
1. Necrotic tissue should be debrided according to acceptable practice
or as directed by an attending physician.
2. The site should be irrigated liberally with a sterile physiological 0.9%
normal saline or a balanced salts solution.
Application of multidex powder or gel:
1. After irrigation, apply Multidex®.
a. For shallow wound – Z|v” thick over entire wound site
b. For deep wound – fill wound site to surface taking care to fill
all undermined areas
2. Cover with a non-adherent, non-occlusive dressing such as Covaderm
Plus®, MultiPad™, Sofsorb®, or Polyderm™ Plus. If necessary, tape in
place or use roll gauze or Stretch Net™ to secure dressing.
3. Dressing change should be once a day on minimally to moderately
draining wounds and twice a day on heavily exudating wounds.
Removal of multidex:
1. Remove non-adherent dressing with care. If dressing adheres to
wound, soak with saline for several minutes before removing so the
fragile granulation tissue is not disturbed.
2. Flush site liberally but gently with a sterile, physiological irrigating
solution to remove debris. This will leave newly formed granulation
tissue undisturbed.
3. Usual frequency of dressing change is once a day, depending upon
drainage and the type of secondary dressing.
